Vu Doan Theriot, Md Pa | |
5150 Crenshaw Rd Suite A150 Pasadena TX 77505-3094 | |
(281) 998-3210 | |
Not Available |
Full Name | Vu Doan Theriot, Md Pa |
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Speciality | Family Medicine |
Location | 5150 Crenshaw Rd, Pasadena, Texas |
Authorized Official Name and Position | Vu Doan Theriot (PRESIDENT) |
Authorized Official Contact | 2819983210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vu Doan Theriot, Md Pa Po Box 890021 Houston TX 77289-0021 Ph: (281) 998-3210 | Vu Doan Theriot, Md Pa 5150 Crenshaw Rd Suite A150 Pasadena TX 77505-3094 Ph: (281) 998-3210 |
NPI Number | 1699061861 |
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Provider Enumeration Date | 06/25/2011 |
Last Update Date | 10/07/2011 |
Medicare PECOS PAC ID | 5092987479 |
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Medicare Enrollment ID | O20111006000469 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699061861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Vu Doan Theriot |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407882731 PECOS PAC ID: 2961456967 Enrollment ID: I20050311000200 |
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